Provider Demographics
NPI:1164407011
Name:SIHAG, NEELAM (MD)
Entity Type:Individual
Prefix:DR
First Name:NEELAM
Middle Name:
Last Name:SIHAG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 VARNUM AVE
Mailing Address - Street 2:STE 106
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01854
Mailing Address - Country:US
Mailing Address - Phone:978-452-5485
Mailing Address - Fax:978-970-1160
Practice Address - Street 1:275 VARNUM AVE
Practice Address - Street 2:STE 106
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854
Practice Address - Country:US
Practice Address - Phone:978-452-5485
Practice Address - Fax:978-970-1160
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA399272084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0156418Medicaid
MA98174301OtherNETWORK
703914OtherTUFTS
MAC04809OtherBLUE CROSS BLUE SHIELD
1004320OtherBEACON
MAC04809Medicare ID - Type Unspecified
MAC04809OtherBLUE CROSS BLUE SHIELD
MA98174301OtherNETWORK